EURORAD ESR

Case 15062

Bleomycin-induced pneumonitis

Author(s)
Logeswaran Selvarajah, Derek G. Power

Mercy University Hospital
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Initial staging

    Staging PET scan showing initial diagnosis of stage IIIB nodular sclerosis Hodgkin's lymphoma.

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 2
    Clinical event (BIP)

    PET scan at presentation with respiratory symptoms post cycle 3 of ABVD showing diffuse FDG uptake in mid and lower zones of the lung.

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Clinical event (BIP) lung window mid zone

    CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the mid zone of the lung.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Clinical event (BIP) lung window lower zone

    CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the lower zone of the lung.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    Post-treatment resolution

    PET scan post completion of steroid treatment showing resolution of pneumonitis and FDG avid foci in spleen of Hodgkin's lymphoma.

     
    Area of Interest: Thorax; Imaging Technique: PET; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 6
    Post-treatment resolution lung window mid zone

    CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the mid zone of the lung.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 7
    Post-treatment resolution lung window lower zone

    CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the lower zone of the lung.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Staging PET scan showing initial diagnosis of stage IIIB nodular sclerosis Hodgkin's lymphoma.
 
PET scan at presentation with respiratory symptoms post cycle 3 of ABVD showing diffuse FDG uptake in mid and lower zones of the lung.
 
CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the mid zone of the lung.
 
CT Thorax at presentation with respiratory symptoms post cycle 3 ABVD showing ground glass opacification of the lower zone of the lung.
 
PET scan post completion of steroid treatment showing resolution of pneumonitis and FDG avid foci in spleen of Hodgkin's lymphoma.
 
CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the mid zone of the lung.
 
CT Thorax post completion of steroid treatment showing resolution of pneumonitis in the lower zone of the lung.
 
 
 
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